Dr. Makom Fowe Powell, D.M.D.
Dentist in Melbourne, FL. Individual provider (NPI-1).
NPI number1154745552
StatusActive
Last updated in NPPESJul 15, 2014
Details
- NPI
- 1154745552
- Entity type
- Individual (NPI-1)
- Name
- Dr. Makom Fowe Powell
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2014
- Last updated
- Jul 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN 20490 | FL | Yes |
Practice location
811 S Babcock StMelbourne, FL 32901-1890
Phone 321-729-0022
Mailing address
811 S Babcock StMelbourne, FL 32901-1890
Phone 321-729-0022
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